Claims Analyst/Risk Management Analyst

The role supports the full scope of the Division of Risk Management, including claims and third-party administrator oversight, insurance requirements for vendor contracts, billing, agency engagement, and ongoing improvements to the State's risk management program. The ideal candidate will build a working knowledge of the State's insurance program and grow into a trusted resource for agencies and leadership.

Key Responsibilities:

• Manage claims activity with the State's third-party administrator, including approvals, denials, releases, and related TPA duties within delegated authority.
• Prepare over-authority claim requests with supporting documentation for review and decision by the Head of Risk Management.
• Monitor TPA service against the State's client service instructions and report claim trends and open issues on a set cadence.
• Administer insurance billing, including premium invoicing, reconciliation, payment tracking, and allocation preparation.
• Learn the State's insurance program, including property, auto liability, railroad liability, and medical malpractice, and be able to explain coverage to agency staff.
• Review RFPs and scopes of work on an ad hoc basis and set appropriate insurance requirements, while helping improve the State's related processes and practices.
• Serve as a point of contact for agency staff on routine claims, insurance requirement, and billing matters, and stay informed on broker communications and inquiries.
• Maintain claim, policy, and billing records and respond to inquiries received through the Risk Management inbox.
• Support the annual renewal process by gathering underwriting data and exposure information.
• Support the Head of Risk Management on strategic initiatives.

Qualifications:

• Two or more years of experience in insurance, claims, or risk management preferred.
• Working knowledge of claims handling and common commercial insurance coverages.
• Strong written and verbal communication skills.
• Strong organizational skills and attention to detail, particularly with billing and records.
• Ability to learn complex programs and follow established processes and authority limits.
• Proficiency in Microsoft Office Suite, particularly Excel and Outlook.